WALLACE TAYLOR HARRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154470

License Status

NOT RENEWED

Business

Title

First Name

WALLACE

Middle

TAYLOR

Last Name

HARRIS

Business Name

WALLACE TAYLOR HARRIS MD

Original Issue Date

10/08/2020

Effective Date

10/08/2020

Expiration Date

07/31/2023

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023